Homecare Medicines
‘Towards a Vision for the Future’ – Taking
Forward the Recommendations
Final Report
Mark Hackett
Chairman of the Homecare Medicines
Strategy Board and CEO University
Hospital North Staffordshire
“We will be a leading centre in healthcare driven by excellence in patient experience, research, teaching
and education.”
Outline
• Brief recap on background
• Governance, RPS Standards & Toolkit
• Systems outcomes, Short term and Long term
• Procurement guidelines
• Moving forward
“We will be a leading centre in healthcare driven by excellence in patient experience, research, teaching
and education.”
Re-Cap
•
Progress update provided at PDIG 6th June delivered by Howard Stokoe
•
- Project overview including Objectives
•
- Progress summary of work streams
•
Homecare Medicine’s still has limelight and focus
•
Moving towards new policy ownership within NHS England
•
Savings are still a reality if implemented properly more so now than ever
•
The work this project has delivered is just the start, and is an enabler for hospitals to
implement or improve Homecare Medicine services
“We will be a leading centre in healthcare driven by excellence in patient experience, research, teaching
and education.”
Governance, RPS Standards and Toolkit
Spring 2013
Governance
guidelines
produced –
awaiting
formal
approval
Summer 2013
Patient charter
produced –
awaiting
formal
approval
Autumn 2013
Standards
delivered and
RPS accredited
– In circulation
Autumn/Winter
2013/14
Toolkit in development with first
tranche expected to be made
formally available by December
2013
- With thanks to Martin Stephens for delivery of the Governance and Patient Charter products
- With thanks to Carol McCall NCHA, Ray Stephens and the RPS for delivery of the Standards
- Governance guidelines and patient charter to be available with the first tranche of the toolkit
- Toolkit will be in continuous development and owned by the NHMC – Chair Allan Karr
- Toolkit and standards will be made available on line
- All tools and products will be editable with own branding
“We will be a leading centre in healthcare driven by excellence in patient experience, research, teaching
and education.”
Systems
Spring 2013
Summer 2013
Short term recommendations made
that can be adopted straight away
Autumn 2013
Autumn/Winter
2013/14
Business case development
Output based specification
document produced highlighting
required system enhancement
-
With thanks to Andy Alldred and Andrew Davies for delivery of the work stream and key
products
-
Following a very successful requirements capture event last year the work stream was
able to define a number of short term solutions which are available in the report
-
Longer term system enhancements have been articulated and the work stream are
currently developing the business case to take this work forward
“We will be a leading centre in healthcare driven by excellence in patient experience, research, teaching
and education.”
Procurement
Spring 2013
- Development of nationally
agreed KPIs for inclusion in
handbook
- Agreement to share non
commercial details of
manufacturer derived SLAs
Summer 2013
Autumn 2013
Discussion to determine levels of procurement by therapy
group
Autumn/Winter
2013/14
- Recommendations on levels of
procurement finalised
- CMU website updated
to provide visibility of
manufacturer derived SLAs
- Revised generic service
specification published
With thanks to CMU , industry groups and nhs procurement pharmacists for developing this work
stream
-
Agreement with ABPI and NCHA to share detail of industry lead service level agreements
Joint work to develop generic service specification to add to toolkit
Recommendations in autumn 2013 for levels of procurement intervention
Recommendations for ensuring competitive market for supply of home care medicines
“We will be a leading centre in healthcare driven by excellence in patient experience, research, teaching
and education.”
Moving Forward –
Opportunities
- Market Robustness
- Open and transparent SLA’s
- More effective provider contract management
- Comprehensive cost transparency
- Gain-share
- PbR excluded drugs in 2011 accounted for somewhere in the region of £2.6b (of that Homecare Medicines is
estimated £1b)
- There should be clear, up front agreements on the share of financial savings with both commissioners and
providers
- Process Efficiencies
- Greater patient choice – a number of options
- Operating more cost effective processes
- Making available hospital resources
“We will be a leading centre in healthcare driven by excellence in patient experience, research, teaching
and education.”
Realising the benefits gained
Savings made on
the drug
Process becomes more efficient:
- Patient has more choice
- The process costs the hospital less
to operate
- The hospital achieves VAT relief on
the drugs/service
Provider shares
the saving with
the
Commissioner
Further savings are
created at provider
level
Provider uses some of that
gained capital to
initiate/increase/improve
the use of Homecare
Medicine services
Savings could be further shared with
strategic commissioning / or made
as a contribution in achieving NHS
savings targets
“We will be a leading centre in healthcare driven by excellence in patient experience, research, teaching
and education.”
What should Providers do now?
• Assess current volume of homecare medicine operations
• Assess current practise against
• The RPS Standards
• The short term systems improvement recommendations
• Implement improvement plans
• Implement governance procedures
• Agree how savings will be captured and realised with regional commissioner
through uplift of Homecare Medicine
• Baseline further opportunities to increase Homecare Medicine’s services
“We will be a leading centre in healthcare driven by excellence in patient experience, research, teaching
and education.”
With thanks …
Name
Organisation
Work stream
Chris Theaker
Commercial Medicines Unit – DH
Procurement
Andrew Allred
Harrogate and District NHS Foundation Trust
Systems
Ray Fitzpatrick
Royal Wolverhampton Hospitals NHS Trust
Standards
Kim Gay
Leeds Teaching Hospitals Trust
NA – Finance
Clare Howard
NHS England
Gain share
Martin Stephens
University Hospital Southampton NHS Foundation Trust
Patient Choice and Governance
Howard Stokoe
Commercial Medicines Unit - DH
Procurement
Carole McCall
National Clinical Homecare Association (former)
Standards
Samantha Ogden
ABPI
Nick Payne
National Clinical Homecare Association (former)
Mark Cartwright
British Generic Manufactures Association
Allan Karr
National Homecare Medicine Committee (Chair)
Toolkit
“We will be a leading centre in healthcare driven by excellence in patient experience, research, teaching
and education.”